RT Book, Section
A1 Karmakar, Manoj K.
A1 Ho, Anthony M-H.
A2 Hadzic, Admir
SR Print(0)
ID 3503174
T1 Chapter 43. Thoracic & Lumbar Paravertebral Block
T2 NYSORA Textbook of Regional Anesthesia and Acute Pain Management
YR 2007
FD 2007
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071449069
LK accessanesthesiology.mhmedical.com/content.aspx?aid=3503174
RD 2024/04/19
AB Thoracic  paravertebral  block  (TPVB)  is  the  technique  of  injecting  local  anesthetic  alongside  the  thoracic  vertebra  close  to  where  the  spinal  nerves  emerge  from  the  intervertebral  foramen.1,2  This  produces  unilateral,  segmental,  somatic,  and  sympathetic  nerve  blockade,3  which  is  effective  for  anesthesia  and  in  treating  acute  and  chronic  pain  of  unilateral  origin  from  the  chest  and  abdomen.1  Hugo  Sellheim  of  Leipzig  (1871–1936)  is  believed  to  have  pioneered  TPVB  in  1905.1,2  Kappis,  in  1919,  developed  the  technique  of  paravertebral  injection,  which  is  comparable  to  the  one  in  present-day  use.  Although  paravertebral  block  was  fairly  popular  in  the  early  1900s,  it  seemed  to  have  fallen  into  disfavor  during  the  mid  and  later  part  of  the  century,  the  reason  for  which  is  not  known.  In  1979  Eason  and  Wyatt  rekindled  interest  by  describing  a  technique  of  paravertebral  catheter  placement.4  Our  understanding  of  the  safety  and  efficacy  of  TPVB  has  improved  significantly  in  the  last  25  years,  and  there  has  been  a  gradual  renewal  of  interest  in  this  technique.  Currently  it  is  used  not  only  for  analgesia  but  also  for  surgical  anesthesia,5–7  and  its  application  has  been  extended  to  children.8–10